| NPI | 1245764067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS #4342) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2014022969) |
| 1041C0700X Social Worker, Clinical (Licence: KS 27484203) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |